The Assessment Of Roddy And Ganz Articles

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

Evidence-based practice is extremely important in health care. It is not only important to know how to perform a certain skill, but why it should be done. There needs to be a standard of care and providers need to know the best way of doing things based on evidence. The article mentions that in the 20th century, many medial decisions were made on doctor assessment and preference (Brower, 2017). Many physicians were practicing dramatically different when compared with one another, which led to the realization that changes needed to be made and Evidence-based practice began to develop. Even though Evidence-based practices have been in play for a while, there is a gap between understanding and applying evidence-based

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

Evidence based practice is when there is a focus on improving the quality of care provided inside different facilities. This is because these challenges have become a major problem for health care professionals. They are overwhelmed from increasing numbers of patients and a reduction in qualified staff members. The results are that quality and safety inside many facilities is often overlooked. (Beyea, 2006) (Barker, 2009)

Healthcare continues to evolve at an extremely rapid pace. It is vital that patients are given the highest quality of care throughout the duration of care received. Melnyk & Fineout-Overholt (2015) states that evidenced based practice is the key to delivering a higher quality of care that facilitates the most favorable outcomes. In order to remain abreast in the face of change, healthcare providers must research and employ initiatives that forwards the healthcare entity as a whole. Unfortunately healthcare providers and healthcare organizations fail to utilize evidenced based practice as often as they should. Often time this is a result of unfamiliarity with research, inability to appropriately incorporate research into active daily practice,

The use of evidence based practice is extremely important so that nurses can provide the best possible, and safest care to our patients. Evidence based practice can be defined as the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful (Catalano pg. 6). It is required in order to achieve the highest quality and most cost –effective care for our patients.

Models that fall under this thematic area aim to enhance patient care and outcomes through appraisal of evidence. Most use a step-by-step approach of identifying a healthcare issue, seeking out appropriate evidence, evaluating that evidence, and then applying it to the issue at hand to improve healthcare outcomes.7 These models also take into consideration the appropriateness of certain types of evidence and, if lacking, provide a process for obtaining new and relevant information.7 Methods for transforming this evidence into practice, such as a new practice standard, are also emphasized in these

Evidence Based practice and Quality improvement articles help close the gap with research, while research articles generate new knowledge. Sources of confusion could be the participates and the inability to control what the participate does. Some similar sources of confusion could be the patient and nurses.

Evidence based practice is an essential component of the quality health care practice. In a clinical practice setting, it is crucial to provide the best care possible to patients. In order to competently practice evidence based medicine (EBM), it is important to question the current practice, effectiveness of treatment, diagnosis and therapy, and to search for the valid research, appraise the research, and apply the results to the patient population as applicable (Straus, Glasziou, Richardson, & Haynes, 2011).

Evidence-based practice has many contributions to nursing as a profession. It must be stated, without evidence-based practice there wouldn’t be any valid evidence that supports the fact of why we utilize certain practices instead of others. (Mazurek et al., 2016) “Urgent action is needed to rapidly accelerate EBP in order to reduce the tremendously long lag between the generation of research findings and their implementation in clinical settings. Many interventions or treatments that have been found to improve outcomes through research are not standard of care throughout healthcare systems or have never been used in clinical settings”. The article that was located, not only shows the need for research but identifies the issue of implementation

The purpose of evidence-based practice (EBP), defined by Schmidt & Brown (2015), is to make decisions about patient care based on the best current evidence gathered from a systematic problem-solving approach” (p.87). In EBP, the

Best practice has been used to generally refer to the use of the most relevant and recent research knowledge in the practice of patient care. From research conducted and real life activities, the practice expands in reference to knowledge of how effective certain treatment methods are based on evidence. This leads to evidence-based practice. Evidence-based practice in nursing refers to the use of evidence to make clinical decisions on the care of patients based on the issue at hand, prior acquired knowledge and even the patients’ expectations. Evidence Based Practice is being implemented in most of the clinical practices today to transform the nursing practice from the traditional intuition driven to now evidence based. Evidence-based practice

Schmidt and Brown (2012) defined evidence based practice as practice based on the best available practice, patient preferences and clinical judgement. Evidence based nursing is the collection, interpretation and use of research derived evidence to better patients care in the clinical setting (Nursing Research: Principle, Process and Issues, pp.447).It is very easy to see the significant changes that have transformed the nursing practice in recent years. It is no wonder, therefore, that evidence based nursing practice has been a central figure in professional practice (Rose and Glass, 2008). Hickman et al (2014) states that to have the best evidence based practice, a nurse must provide patients with the best, up to date evidence in contrast to care that is simply based on the traditional ways of nursing. However within evidence based research, Maloney et al (2016) found that it is extremely important to focus on knowledge based on the nurses own area of practice so that the best evidence based practice is given to their patients. Following the Briggs report in 1972, there has been more commitment within the health care profession to utilise evidence based

Evidence-based practice is “the use of the best scientific evidence integrated with clinical experience and incorporating patient values and preferences in the practice of professional nursing care” (Houser, 2015, page 12). Evidence-based practice is important to nursing care for many different reasons. One of the main reasons is that using evidence-based nursing care provides better patient outcomes verses using the traditional trial and error method. Evidence-based practice is based on scientific studies and desirable patient outcomes. Healthcare professionals who provide patient care using evidence-based nursing practice are acting in the best interests of their patients. Errors in clinical decision making have greatly been reduced by using evidence-based practice for providing nursing care to patients. Patients are often placed at a higher risk for harm or injury when using the traditional trial and error method of nursing care. Therefore, the trial and error method should be avoided at all costs because it is unethical and unacceptable from a nursing standpoint (Houser, 2015).